NPI | 1922818061 |
---|---|
Doing Business As | LEAFWELL PROVIDERS CA, P.C. |
Entity Type | Organization |
Authorized Contact | GAVIN MORELAND President 504-458-4481 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2025-01-10 |
Last Update Date | 2025-01-10 |